Crohn's Disease P/t

[Stephanie5160]

Hello,

I had a 28 year old female patient admitted with a crohns disease flare. MD prescribed 1mg dilaudid every 4hrs prn and zofran. She was having diarrhea with rectal bleeding, vomiting, and low grade fever. MD completed a colonoscopy and EGD. Results showed gastritis, and biopsies were normal. MD changed dilaudid to every 6hrs prn, and add toradol. Patient was relieved but frustrated that she was still have terrible pain and the diarrhea with rectal bleeding. She was concerned she wouldn't be able to take care of her young children in her state. She asked the MD, what can be done about her crohns flare symptoms, but MD would continue to escalate her voice by saying, there's no crohns disease, this is not a flare! I don't need to give you dilaudid. And called for a psych and pain med consult. The patient was very distraught on how the MD was speaking to her. She asked, I'm sorry but are you giving me attitude? I'm very confused... all the while the MD talking over her. Patient started to cry and said she's very sensitive, and to have the MD judge her and automatically decide the patients pain level for her was very hurtful. Her emotional and physical well being was distressed with how this MD treated her. Personally I believe pain is subjective, and given that i physically saw her while she had painful bowel movements, pain, etc, the patient doesn't seem like. Drug seeker, she has genuine pain. Isn't there no cure for crohns? And even with the colonoscopy findings, it could very well still be a flare? Thoughts on how the doctor should have approached the situation? I felt so bad for this patient... anything I can do or recommend for her to do? Thanks!